Nurse Aminath and Nursing Mariyam are in

Nurse Aminath and Nursing Mariyam are in critical care unit. They have been under a great deal of stress from very ill patients, a high census and frequent staff illnesses during 2-week period. On one particular evening, both Aminath and Mariyam recognized that they are developing the symptoms of upper respiratory infection that has been affecting other members of the staff. Because they had three post-op patients needing one-on-one care and were receiving another admissions from the emergency room, the nurses solicited medication from the house officer (Dr. Shareef) in order to suppress their symptoms and ‘keep going’. Although they were able to remain working on the unit and not contribute to an already critical staffing situation, they may recognize that they might be causing harm by communicating their illness to already vulnerable patients and by risking making mistakes while under the influence of medications (antihistamines). Both Aminath and Mariyam contemplated the alternatives, they were convinced that the additional risk to the patients were quite small and they believed that the patients were in real need of one- on-one care that could only be provided if they remained on duty. They concluded that, on balance the good they could do exceeded the risk of harm, but they wondered: is there a special obligation for health professionals to avoid harm – Provide your justification in view of ethical principles

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